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Gastroenterology Coding Alert

You Be the Coder:

Capture Fluoroscopy Separate From ERCP When Appropriate

Published on Tue Jul 17, 2012

Question: If our gastroenterologist takes the aid of fluoroscopy during an ERCP procedure, I know that 77002-26 and 76000-26 are bundled into the ERCP procedure and cannot be reported separately. As far as my knowledge goes, 74328-74330 can be used with a 26 modifier if fluoroscopy is done during catheterization of the biliary or pancreatic ducts. Please tell me if this is correct? Also give me an example when 76000 is separately reportable?Minnesota SubscriberAnswer: During most of the ERCP procedures, your gastroenterologist will take the aid of fluoroscopic imaging. But in most instances, your gastroenterologist will not be the person who will be doing the official supervision and image interpretations for the radiology aspect of the procedure. Most of the time, a radiologist will be present for the supervision and interpretations and will claim reimbursements for the same.If the radiologist is not present for the fluoroscopy procedure and your gastroenterologist [...]
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